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Usefulness and capability of three-dimensional, full high-definition movies for surgical education
Takano, M.,Kasahara, K.,Sugahara, K.,Watanabe, A.,Yoshida, S.,Shibahara, T. Korean Association of Maxillofacial Plastic and Re 2017 Maxillofacial Plastic Reconstructive Surgery Vol.39 No.-
Background: Because of changing surgical procedures in the fields of oral and maxillofacial surgery, new methods for surgical education are needed and could include recent advances in digital technology. Many doctors have attempted to use digital technology as educational tools for surgical training, and movies have played an important role in these attempts. We have been using a 3D full high-definition (full-HD) camcorder to record movies of intraoral surgeries. Method: The subjects were medical students and doctors receiving surgical training who did not have actual surgical experience (n = 67). Participants watched an 8-min, 2D movie of orthognathic surgery and subsequently watched the 3D version. After watching the 3D movie, participants were asked to complete a questionnaire. Result: A lot of participants (84%) felt a 3D movie excellent or good and answered that the advantages of a 3D movie were their appearance of solidity or realism. Almost all participants (99%) answered that 3D movies were quite useful or useful for medical practice. Conclusions: Three-dimensional full-HD movies have the potential to improve the quality of medical education and clinical practice in oral and maxillofacial surgery.
Takano, Masayuki,Sugahara, Keisuke,Koyachi, Masahide,Odaka, Kento,Matsunaga, Satoru,Homma, Shinya,Abe, Shinichi,Katakura, Akira,Shibahara, Takahiko Korean Association of Maxillofacial Plastic and Re 2019 Maxillofacial Plastic Reconstructive Surgery Vol.41 No.-
Background: Reconstructive surgery is often required for tumors of the oral and maxillofacial region, irrespective of whether they are benign or malignant, the area involved, and the tumor size. Recently, three-dimensional (3D) models are increasingly used in reconstructive surgery. However, these models have rarely been adapted for the fabrication of custom-made reconstruction materials. In this report, we present a case of maxillary reconstruction using a laboratory-engineered, custom-made mesh plate from a 3D model. Case presentation: The patient was a 56-year-old female, who had undergone maxillary resection in 2011 for intraoral squamous cell carcinoma that presented as a swelling of the anterior maxillary gingiva. Five years later, there was no recurrence of the malignant tumor and a maxillary reconstruction was planned. Computed tomography (CT) revealed a large bony defect in the dental-alveolar area of the anterior maxilla. Using the CT data, a 3D model of the maxilla was prepared, and the site of reconstruction determined. A custom-made mesh plate was fabricated using the 3D model (Okada Medical Supply, Tokyo, Japan). We performed the reconstruction using the custom-made titanium mesh plate and the particulate cancellous bone and marrow graft from her iliac bone. We employed the tunneling flap technique without alveolar crest incision, to prevent surgical wound dehiscence, mesh exposure, and alveolar bone loss. Ten months later, three dental implants were inserted in the graft. Before the final crown setting, we performed a gingivoplasty with palate mucosal graft. The patient has expressed total satisfaction with both the functional and esthetic outcomes of the procedure. Conclusion: We have successfully performed a maxillary and dental reconstruction using a custom-made, pre-bent titanium mesh plate.
On a conformal Killing vector field in a compact almost Ka¨hlerian manifold
Takano, Kazuhiko,Jun, Jae-Bok 국민대학교 2003 기초과학연구소 논문집 Vol.22 No.-
In this paper, we have proved that any conformal Killing vector field is Killing one in a compact almost Ka¨lerian manifold Mⁿ(n≥ 4).
Takano Morito,Iida Tsuyoshi,Hikata Tomohiro 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.4
Study Design: Retrospective case-control study.Purpose: To understand the prevalence of persistent orthostatic hypotension (POH), as well as its risk factors and cardiovascular pathology, in patients receiving surgery for the adult spinal deformity (ASD).Overview of Literature: Although reports of the incidence of and risk factors for POH in different spinal disorders have recently been published, we are not aware of the comprehensive evaluation of POH following surgery for ASD.Methods: We examined medical records from a single central database for 65 patients receiving surgical treatment for ASD. Statistical comparisons were made between patients who experienced postoperative POH and those who did not, by examining patient and operative characteristics, such as age, sex, comorbidities, functional status, preoperative neurological function, vertebral fractures, three-column osteotomy, total operative time, estimated blood loss, length of stay, and radiographic parameters. The determinants of POH were assessed using multiple logistic regression.Results: We showed that postoperative POH was a complication of ASD surgery, with a 9% incidence rate. Patients with POH were statistically considerably more likely to require supported walkers due to partial paralysis and to have comorbidities including diabetes and neurodegenerative disease (ND). Furthermore, ND was an independent risk factor for postoperative POH (odds ratio, 4.073; 95% confidence interval, 1.094–8.362; <i>p</i> =0.020). Moreover, perioperative evaluation of the inferior vena cava showed that patients with postoperative POH had preoperative congestive heart failure and had hypovolemia lower postoperative diameter of the inferior vena cava than patients without POH.Conclusions: Postoperative POH is a potential complication of ASD surgery. The most pertinent risk factor is having an ND. According to our study, patients who have surgery for ASD may experience alterations in their hemodynamics.
Takano, Hironobu,Asano, Masayuki,Nakamura, Kiyomi The Korean Institute of Electrical Engineers 2013 The Journal of International Council on Electrical Vol.3 No.2
In this paper, we propose an eye detection method that is robust to facial pose changes using gradient directional features of brightness and a particle filter. The rejection function of incorrect eye detection in the proposed method allows for the eye detection again even if the eye is incorrectly detected. In this method, to estimate the boundary between the iris and sclera or eyelid, the gradient intensities are calculated by four directional Prewitt filters in four regions. The likelihood used in the particle filter is obtained by averaging the gradient intensities for the specific direction in the four regions and the upper eyelid area. From experimental results, the average detection rates of both eyes for roll, yaw, and pitch angles of the face are more than 90% by using rejection function for incorrect eye detection. The rejection function produces the 4.4%, 4.5%, and 4.9% increases in average detection rates of both eyes for roll, yaw, and pitch facial angles, respectively. The proposed eye detection method can track both eye in real-time (about 20 ms) and is robust to the facial pose changes.
Takano, Hirotaka,Murata, Junichi,Yasuda, Makoto,Maki, Yukino The Korean Institute of Electrical Engineers 2013 The Journal of International Council on Electrical Vol.3 No.1
In this paper, an improvement strategy is proposed for solving a determination problem of the optimal distribution network configuration (minimum distribution loss network configuration). To achieve the purpose, characteristics of the network configuration optimization problems are clarified by applying an exact determination method previously proposed to typical problems. Second, those characteristics are used to evaluate the performance of Tabu Search (TS), which is the most popular local search-based metaheuristics, when applied to the problems. Finally, TS algorithm is improved. Numerical simulations are carried out for a real scale complicated network model in order to verify the validity of improved TS.
ON A CONFORMAL KILLING VECTOR FIELD IN A COMPACT ALMOST KAHLERIAN MANIFOLD
TAKANO, KAZUHIKO,JUN, JAE-BOK Korean Mathematical Society 2005 대한수학회보 Vol.42 No.1
In this paper, we will prove that in a compact almost Kahlerian manifold $M^n$, any conformal Killing vector field is Killing if n $\ge$ 4.